Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW BMT CORT 4.5 22MM 345322

Facility

$870.00

Hospital Charge Code	270610871
Hospital Revenue Code	278
Min. Negotiated Rate	$130.50
Max. Negotiated Rate	$210.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$210.54
Rate for Payer: Qualcare PPO/HMO/WC	$130.50

SCREW BMT CORT 4.5 22MM 345322

Facility

$870.00

Hospital Charge Code	270610871
Hospital Revenue Code	278
Min. Negotiated Rate	$130.50
Max. Negotiated Rate	$435.00
Rate for Payer: Aetna Commercial	$261.00
Rate for Payer: Aetna Medicare Advantage	$261.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$221.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$221.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$221.85
Rate for Payer: Cigna Commercial	$435.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$210.54
Rate for Payer: Qualcare PPO/HMO/WC	$130.50

SCREW BMT CORT 4.5 24MM 345324

Facility

$621.65

Hospital Charge Code	270610877
Hospital Revenue Code	278
Min. Negotiated Rate	$93.25
Max. Negotiated Rate	$310.82
Rate for Payer: Aetna Commercial	$186.50
Rate for Payer: Aetna Medicare Advantage	$186.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.52
Rate for Payer: Cigna Commercial	$310.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.44
Rate for Payer: Qualcare PPO/HMO/WC	$93.25

SCREW BMT CORT 4.5 24MM 345324

Facility

$621.65

Hospital Charge Code	270610877
Hospital Revenue Code	278
Min. Negotiated Rate	$93.25
Max. Negotiated Rate	$150.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.44
Rate for Payer: Qualcare PPO/HMO/WC	$93.25

SCREW BMT CORT 4.5 26MM 345326

Facility

$870.00

Hospital Charge Code	270622379
Hospital Revenue Code	278
Min. Negotiated Rate	$130.50
Max. Negotiated Rate	$210.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$210.54
Rate for Payer: Qualcare PPO/HMO/WC	$130.50

SCREW BMT CORT 4.5 26MM 345326

Facility

$870.00

Hospital Charge Code	270622379
Hospital Revenue Code	278
Min. Negotiated Rate	$130.50
Max. Negotiated Rate	$435.00
Rate for Payer: Aetna Commercial	$261.00
Rate for Payer: Aetna Medicare Advantage	$261.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$221.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$221.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$221.85
Rate for Payer: Cigna Commercial	$435.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$210.54
Rate for Payer: Qualcare PPO/HMO/WC	$130.50

SCREW BMT CORT 4.5 28MM 345328

Facility

$585.00

Hospital Charge Code	270610792
Hospital Revenue Code	278
Min. Negotiated Rate	$87.75
Max. Negotiated Rate	$292.50
Rate for Payer: Aetna Commercial	$175.50
Rate for Payer: Aetna Medicare Advantage	$175.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$149.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$149.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$149.18
Rate for Payer: Cigna Commercial	$292.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.57
Rate for Payer: Qualcare PPO/HMO/WC	$87.75

SCREW BMT CORT 4.5 28MM 345328

Facility

$585.00

Hospital Charge Code	270610792
Hospital Revenue Code	278
Min. Negotiated Rate	$87.75
Max. Negotiated Rate	$141.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$117.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.57
Rate for Payer: Qualcare PPO/HMO/WC	$87.75

SCREW BMT CORT 4.5 30 345330

Facility

$508.85

Hospital Charge Code	270623896
Hospital Revenue Code	278
Min. Negotiated Rate	$76.33
Max. Negotiated Rate	$123.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.14
Rate for Payer: Qualcare PPO/HMO/WC	$76.33

SCREW BMT CORT 4.5 30 345330

Facility

$508.85

Hospital Charge Code	270623896
Hospital Revenue Code	278
Min. Negotiated Rate	$76.33
Max. Negotiated Rate	$254.43
Rate for Payer: Aetna Commercial	$152.66
Rate for Payer: Aetna Medicare Advantage	$152.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$129.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$129.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$129.76
Rate for Payer: Cigna Commercial	$254.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.14
Rate for Payer: Qualcare PPO/HMO/WC	$76.33

SCREW BMT CORT 4.5 32MM 235132

Facility

$153.65

Hospital Charge Code	270614106
Hospital Revenue Code	278
Min. Negotiated Rate	$23.05
Max. Negotiated Rate	$76.83
Rate for Payer: Aetna Commercial	$46.09
Rate for Payer: Aetna Medicare Advantage	$46.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.18
Rate for Payer: Cigna Commercial	$76.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.18
Rate for Payer: Qualcare PPO/HMO/WC	$23.05

SCREW BMT CORT 4.5 32MM 235132

Facility

$153.65

Hospital Charge Code	270614106
Hospital Revenue Code	278
Min. Negotiated Rate	$23.05
Max. Negotiated Rate	$37.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.18
Rate for Payer: Qualcare PPO/HMO/WC	$23.05

SCREW BMT CORT 4.5 32MM 345332

Facility

$585.00

Hospital Charge Code	270610794
Hospital Revenue Code	278
Min. Negotiated Rate	$87.75
Max. Negotiated Rate	$292.50
Rate for Payer: Aetna Commercial	$175.50
Rate for Payer: Aetna Medicare Advantage	$175.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$149.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$149.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$149.18
Rate for Payer: Cigna Commercial	$292.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.57
Rate for Payer: Qualcare PPO/HMO/WC	$87.75

SCREW BMT CORT 4.5 32MM 345332

Facility

$585.00

Hospital Charge Code	270610794
Hospital Revenue Code	278
Min. Negotiated Rate	$87.75
Max. Negotiated Rate	$141.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$117.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.57
Rate for Payer: Qualcare PPO/HMO/WC	$87.75

SCREW BMT CORT 4.5 34 345334

Facility

$870.00

Hospital Charge Code	270624982
Hospital Revenue Code	278
Min. Negotiated Rate	$130.50
Max. Negotiated Rate	$435.00
Rate for Payer: Aetna Commercial	$261.00
Rate for Payer: Aetna Medicare Advantage	$261.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$221.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$221.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$221.85
Rate for Payer: Cigna Commercial	$435.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$210.54
Rate for Payer: Qualcare PPO/HMO/WC	$130.50

SCREW BMT CORT 4.5 34 345334

Facility

$870.00

Hospital Charge Code	270624982
Hospital Revenue Code	278
Min. Negotiated Rate	$130.50
Max. Negotiated Rate	$210.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$210.54
Rate for Payer: Qualcare PPO/HMO/WC	$130.50

SCREW BMT CORT 4.5 34MM 235134

Facility

$153.65

Hospital Charge Code	270613967
Hospital Revenue Code	278
Min. Negotiated Rate	$23.05
Max. Negotiated Rate	$37.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.18
Rate for Payer: Qualcare PPO/HMO/WC	$23.05

SCREW BMT CORT 4.5 34MM 235134

Facility

$153.65

Hospital Charge Code	270613967
Hospital Revenue Code	278
Min. Negotiated Rate	$23.05
Max. Negotiated Rate	$76.83
Rate for Payer: Aetna Commercial	$46.09
Rate for Payer: Aetna Medicare Advantage	$46.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.18
Rate for Payer: Cigna Commercial	$76.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.18
Rate for Payer: Qualcare PPO/HMO/WC	$23.05

SCREW BMT CORT 4.5 36MM 235136

Facility

$155.00

Service Code	HCPCS C1713
Hospital Charge Code	270613968
Hospital Revenue Code	278
Min. Negotiated Rate	$23.25
Max. Negotiated Rate	$77.50
Rate for Payer: Aetna Commercial	$46.50
Rate for Payer: Aetna Medicare Advantage	$46.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.52
Rate for Payer: Cigna Commercial	$77.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.51
Rate for Payer: Qualcare PPO/HMO/WC	$23.25

SCREW BMT CORT 4.5 36MM 235136

Facility

$155.00

Service Code	HCPCS C1713
Hospital Charge Code	270613968
Hospital Revenue Code	278
Min. Negotiated Rate	$23.25
Max. Negotiated Rate	$37.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.51
Rate for Payer: Qualcare PPO/HMO/WC	$23.25

SCREW BMT CORT 4.5 36MM 345336

Facility

$870.00

Hospital Charge Code	270610872
Hospital Revenue Code	278
Min. Negotiated Rate	$130.50
Max. Negotiated Rate	$210.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$210.54
Rate for Payer: Qualcare PPO/HMO/WC	$130.50

SCREW BMT CORT 4.5 36MM 345336

Facility

$870.00

Hospital Charge Code	270610872
Hospital Revenue Code	278
Min. Negotiated Rate	$130.50
Max. Negotiated Rate	$435.00
Rate for Payer: Cigna Commercial	$435.00
Rate for Payer: Aetna Commercial	$261.00
Rate for Payer: Aetna Medicare Advantage	$261.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$221.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$221.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$221.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$210.54
Rate for Payer: Qualcare PPO/HMO/WC	$130.50

SCREW BMT CORT 4.5 38MM 235138

Facility

$153.65

Hospital Charge Code	270613969
Hospital Revenue Code	278
Min. Negotiated Rate	$23.05
Max. Negotiated Rate	$37.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.18
Rate for Payer: Qualcare PPO/HMO/WC	$23.05

SCREW BMT CORT 4.5 38MM 235138

Facility

$153.65

Hospital Charge Code	270613969
Hospital Revenue Code	278
Min. Negotiated Rate	$23.05
Max. Negotiated Rate	$76.83
Rate for Payer: Aetna Commercial	$46.09
Rate for Payer: Aetna Medicare Advantage	$46.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.18
Rate for Payer: Cigna Commercial	$76.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.18
Rate for Payer: Qualcare PPO/HMO/WC	$23.05

SCREW BMT CORT 4.5 38MM 345338

Facility

$585.00

Hospital Charge Code	270610791
Hospital Revenue Code	278
Min. Negotiated Rate	$87.75
Max. Negotiated Rate	$292.50
Rate for Payer: Aetna Commercial	$175.50
Rate for Payer: Aetna Medicare Advantage	$175.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$149.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$149.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$149.18
Rate for Payer: Cigna Commercial	$292.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.57
Rate for Payer: Qualcare PPO/HMO/WC	$87.75

Know your out-of-pocket cost for care.

All Charges